Chad S Lewison, DDS,PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CHAD S LEWISON, DDS,PC

Doing business as

Dental Implant Group

Practice address

1110 W 5TH St
Canton, SD 57013-1543

Phone

(605) 764-3179

Fax

(605) 764-3181

NPI assigned

Nov 12, 2020

Last updated

Nov 12, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amy Jo Lems

Title

Cda

Phone

(605) 764-3179

Specialties & licenses 1

Addresses

Other names 1

• Dental Implant Group Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605139200000",
    "number": "1477155646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 W 5TH ST",
            "city": "CANTON",
            "state": "SD",
            "postal_code": "570131543",
            "telephone_number": "605-764-3179",
            "fax_number": "605-764-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W 5TH ST",
            "city": "CANTON",
            "state": "SD",
            "postal_code": "570131543",
            "telephone_number": "605-764-3179",
            "fax_number": "605-764-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAD S LEWISON, DDS,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-12",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-11",
        "status": "A",
        "authorized_official_last_name": "LEMS",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "CDA",
        "authorized_official_telephone_number": "605-764-3179"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Implant Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Canton Chiropractic Prof. LLC
• Canton Family Vision Clinic, PC
• Canton Family Vision Clinic, PC
• Canton School District
• Cedar Mobility LLC
• Chris Diaz-Freed Dental Prof LLC (Canton Dental Clinic)
• Kelley J Christensen, MSW
• Linda K. Christensen, D.O.
• Jolayn Marie Coquyt, OT
• Crawford Counseling Center

• Dental Clinic/Center in Canton, SD
• Providers in Canton, SD by specialty
• Dental Clinic/Center in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.